摘要
目的 探讨腹股沟淋巴结活检及髂腹股沟淋巴清扫在阴茎癌治疗中的作用。 方法 报告 1982年 1月～ 1997年 7月收治的 6 3例阴茎癌的临床资料 ,在切除阴茎原发病灶同时行无选择性双侧腹股沟淋巴结活检 ,并对淋巴结活检阳性者行双侧髂腹股沟淋巴清扫术。 结果 11例 (15侧 )淋巴结活检阳性 ,1例假阴性。淋巴清扫后 ,原活检阴性侧髂腹股沟未见淋巴转移 ,阳性侧有 1例存在Cloquet淋巴结转移。 结论 在切除阴茎癌肿的同时应作双侧腹股沟淋巴结活检 ,延期对活检阳性侧腹股沟淋巴清扫 ;对阴性侧腹股沟及无论有无癌转移的髂淋巴清扫意义不大。
Objective To evaluate inguinal lymph nodes biopsy and ilioinguinal lymphadenectomy in the treatment of penile carcinoma. Methods 63 cases of penile carcinoma have been treated since 1982.Bilateral inguinal lymph node biopsy was undertaken on penile surgery and ilioinguinal lymphadenectomy has been carried out in selected cases.All the patients have been followed up. Results The inguinal lymph node biopsy was positive in 11 cases on 15 sides and in one case the biopsy has been false negative.Cloquet's lymph node metastasis on the positive side was detected only in one patient. Conclusions Inguinal lymph node biopsy should be carried out on both sides and ilioinguinal lymphadenectomy should be undertaken on the positive side.Whereas,ilioinguinal lymphadenectomy on the negative side is of no significance regardless whether the iliac nodes being positive or not.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2000年第7期433-434,共2页
Chinese Journal of Urology
关键词
阴茎肿瘤
淋巴结切除
外科手术
Penile neoplasms Carcinoma Lymph node excision
